DEFIANCE VA CLINIC (4460)    INSTITUTION (4)

Name Value
NAME DEFIANCE VA CLINIC
STATE OHIO
STREET ADDR. 1 800 N CLINTON ST STE B
CITY DEFIANCE
ZIP 43512-4611
OFFICIAL VA NAME DEFIANCE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DEFIANCE VA CLINIC
EFFECTIVE DATE/TIME
  • 2021-04-30 00:00:00
    STATUS:   ACTIVE
    NPI:   1912580689
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 610GE